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Life Line Home Care Inc
Specialty Pharmacy in Jacksonville, Florida
NPI 1578630190

Life Line Home Care Inc is a Specialty Pharmacy based in Tifton, FL and is specialized in Specialty Pharmacy. Life Line Home Care Inc practices in Jacksonville, FL. The NPI Number for Life Line Home Care Inc is 1578630190 and holds a License No. 1312767 (Florida).

The current practice location address for Life Line Home Care Inc is 3740 Saint Johns Bluff Rd S, Jacksonville, FL and can be reached out via phone at 904-730-2202 and via fax at 904-730-2212. You can also correspond with Life Line Home Care Inc through the mailing address at 1610 MADISON AVE, TIFTON, GA - 31794-3756 (mailing address contact number: 904-730-2202).

Location: 3740 Saint Johns Bluff Rd S, Jacksonville, FL, 31794-3756
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578630190
Provider Name
Life Line Home Care Inc
Credential
Provider Entity Type
Organization
Address
3740 Saint Johns Bluff Rd S, Jacksonville, FL, 31794-3756
Phone Number
904-730-2202
Fax Number
904-730-2212
Provider Enumeration Date
11/29/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0942290002 01 FL MEDICARE
institution
Provider Business Practice Location Address Details
Address
3740 Saint Johns Bluff Rd S
City
Jacksonville
State
Florida
Zip
32224-2651
Phone Number
904-730-2202
Fax Number
904-730-2212
person
Provider Business Mailing Address Details
Address
1610 Madison Ave
City
Tifton
State
Georgia
Zip
31794-3756
Phone Number
904-730-2202
Fax Number
904-730-2212
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
PH24359 (Florida)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Parenteral & Enteral Nutrition
Taxonomy
332BP3500X
License No.
PH24359 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
PH24359 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
PH24359 (Florida)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
person
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Compounding Pharmacy
Taxonomy
3336C0004X
License No.
324181 (Florida)
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
person
Provider's Taxonomy Details 6
Type
Suppliers
Classification
Pharmacy
Speciality
Home Infusion Therapy Pharmacy
Taxonomy
3336H0001X
License No.
1312767 (Florida)
Definition
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
person
Provider's Taxonomy Details 7
Type
Suppliers
Classification
Pharmacy
Speciality
Specialty Pharmacy
Taxonomy
3336S0011X
License No.
1312767 (Florida)
Definition
A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
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